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SHANMUKHA SAI MUKTHAPURAM M.D.
NPI 1376983536
Pediatrics - Neonatal-Perinatal Medicine in Wellington, FL

Active since July 02, 2013PECOS Enrolled
10101 FOREST HILL BLVD, WELLINGTON, FL 33414(561) 798-8500 Get Directions Write a Review

NPPES record last updated: February 12, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 26, 2023, Feb 27, 2019 (2 updates tracked since 2019).

About Shanmukha Sai Mukthapuram M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANMUKHA SAI MUKTHAPURAM M.D. (NPI 1376983536) is an individual neonatal-perinatal medicine provider in Wellington, Florida, licensed in Florida (ME160215) and active in the NPI registry since July 2013. He is enrolled in Medicare PECOS and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1376983536
Entity TypeIndividualMale
Primary Taxonomy2080N0001X
Provider Legal NameSHANMUKHA SAI MUKTHAPURAMCredential: M.D.
Location Address10101 FOREST HILL BLVDWellington, FL 33414-6103
Mailing Address3180 S Ocean Dr Apt 1408Hallandale Beach, FL 33009-7252 · (929) 234-9843
Phone(561) 798-8500
Sole ProprietorNo
Enumeration DateJuly 2, 2013
Last NPPES UpdateFebruary 12, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 12, 2024
✔ NPI 1376983536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in FL · ME160215
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Also ListedPediatricsTaxonomy 208000000X · License 35.128161 (OH)
10101 FOREST HILL BLVD, Wellington, FL 33414
Open in Google Maps ↗

Secondary Practice Locations 4

Location 13140 S Ocean Dr Apt 2406Hallandale Beach, FL 33009-7254 · Phone (929) 234-9843
Location 21324 Lakeland Hills BlvdLakeland, FL 33805 · Phone (863) 687-1100
Location 33333 Burnet AveCincinnati, OH 45229 · Phone (513) 636-4000
Location 45955 Ponce De Leon BlvdCoral Gables, FL 33146-2423 · Phone (305) 661-1515

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shanmukha Sai Mukthapuram M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Shanmukha Sai Mukthapuram reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Children's Hospital Medical Center
896 mi
Pediatrics
3333 BURNET AVENUE
Cincinnati, OH 45229
  • Reassigned Medicare billing, Ohio enrollment
  • 2,080 clinicians in this Medicare group
NPI 1609915784 (513) 636-4225

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. STEVEN SHERMAN MD
Internal Medicine
10101 FOREST HILL BLVD
WELLINGTON, FL 33414
Palm Beach County (561) 766-1300
IMAD SAMMAN TAHHAN
Student in an Organized Health Care Education/Training Program
10101 FOREST HILL BLVD
WELLINGTON, FL 33414
Palm Beach County (561) 472-2583
VICO VIGGIANO DO
Internal Medicine
10101 FOREST HILL BLVD
WELLINGTON, FL 33414
Palm Beach County (561) 798-8504
DR. JUSTIN SCOTT LEVY DO
Student in an Organized Health Care Education/Training Program
10101 FOREST HILL BLVD
WELLINGTON, FL 33414
Palm Beach County (561) 472-2583
DR. ROLANDO SANTISTEBAN SOSA DO
Internal Medicine
10101 FOREST HILL BLVD
WELLINGTON, FL 33414
Palm Beach County (561) 798-8504
STACEY ANN LOFFREDO
Nurse Anesthetist, Certified Registered
10101 FOREST HILL BLVD
WELLINGTON, FL 33414
Palm Beach County (561) 798-8500
DR. REGINA WILSON MD
Student in an Organized Health Care Education/Training Program
10101 FOREST HILL BLVD
WELLINGTON, FL 33414
Palm Beach County (561) 798-8500
LEE SCHILLER
Nurse Anesthetist, Certified Registered
10101 FOREST HILL BLVD
WELLINGTON, FL 33414
Palm Beach County (561) 798-8500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shanmukha Sai Mukthapuram's NPI number?

The NPI number for Shanmukha Sai Mukthapuram is 1376983536. It was assigned to this individual provider in the NPPES registry on July 2, 2013.

Where is Shanmukha Sai Mukthapuram located?

Shanmukha Sai Mukthapuram practices at 10101 Forest Hill Blvd, Wellington, FL 33414. The listed phone number is (561) 798-8500.

What is Shanmukha Sai Mukthapuram's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Shanmukha Sai Mukthapuram enrolled in Medicare?

Yes. Shanmukha Sai Mukthapuram is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Shanmukha Sai Mukthapuram's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shanmukha Sai Mukthapuram reassigns Medicare benefits to Children's Hospital Medical Center (Cincinnati, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shanmukha Sai Mukthapuram's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shanmukha Sai Mukthapuram accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, CareSource and Cigna HealthCare of Florida, Inc. and 4 other insurers list Shanmukha Sai Mukthapuram as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shanmukha Sai Mukthapuram was last updated on February 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.